Reference no: EM133867366

Question

Operative Report, Appendectomy LOCATION: Outpatient, Hospital PATIENT: Samantha Young PHYSICIAN: Larry Friendly, MD PREOPERATIVE DIAGNOSIS: Colitis, terminal ileitis, and possible appendicitis. POSTOPERATIVE DIAGNOSIS: Acute appendicitis. No evidence of abscess or peritonitis. No pus in the abdomen. PROCEDURE PERFORMED: Laparoscopic abdominal exploration, laparoscopic mobilization of the cecum converted to open appendectomy. SPECIMEN: Appendix COMPLICATIONS: A small serosal tear in the terminal ileum was a retraction injury. This was repaired during the open part of the case with 3-0 silk. ESTIMATED BLOOD LOSS: Less than 100 cc (cubic centimeter) ANESTHESIA: General endotracheal with 30 cc of Marcaine local augmentation. PROCEDURE IN DETAIL: After good general endotracheal anesthesia, the patient was prepped and draped in the usual sterile fashion. A Foley and NG (nasogastric) tube were both placed to decompress the stomach and also the bladder. A small infraumbilical incision was made, and under direct vision the fascia was nicked. The Veress needle was placed in the fascia, and the abdomen was insufflated to 16 Torr. After this, the fascial incision was lengthened, and a no. 10 trocar was placed. The camera was placed through this, and the abdomen was inspected. The cecum was quite inflamed. The base of the appendix was noted.